Assist in centralized billing of all claims

Job Duties:

• Responsible for accurate data entry of resident insurance information.
• Review of resident face sheets and make corrections if needed.
• Verify and change any financial pay statuses.
• Provides customer service and problem resolution to assigned facilities
• Identify errors that caused claim denial on a daily basis
• Correct all necessary data         
• Re-bill claims as needed
• Interact with Kinney Employees (Store and Corporate) and various outside agencies
• Assist in the overall automation of billing procedures
• Assist end of month bill process
• Visit clients to go over monthly billing statement
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned

Educational Requirements:

• Preferred: AS Degree or Higher in Business Administration or related field
• Minimum: High School Diploma

Experience:

• Preferred: 1 to 2 years Long Term Care pharmacy billing
• Preferred: General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing and/or Pharmacy Operations.

Required (Vermont Employees):

• Registered  with the State of Vermont as a Pharmacy Technician

Required (Ohio Employees Only):

• Registered with the State of Ohio as a Pharmacy Technician

Special Conditions of Employment:

• Drug test
• Initial and continuous exclusion and sanction/disciplinary monitoring
• Any and all additional eligibility requirements based on the specific position

Job Skills Required:

• Excellent phone communication skills
• Strong organizational skills
• General computer and keyboarding skills
• Ability to complete responsibilities with minimal supervision
• Successful completion of a pre-employment and/or random drug screening test

Required Training:

• HIPAA Privacy Course
• HIPAA Security Course
• Fraud, Waste, and Abuse Course
• MethGuard Course

Behavioral Traits Required:

• Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and other in contact with
• Initiative: Must work within supervision guidelines and assume additional responsibilities
• Flexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned work
• Adaptability: Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiences
• Involvement: Must enjoy the demands of the job and work with interest and enthusiasm
• Customer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately
• Safety: Must take care of equipment and employ good safety habits
• Leadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams

Attendance Requirements:

• Must be available, and on-time for scheduled work shifts
• Must be able to work nights and weekends as required.

Compensation:

$15.97 - $20.94 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education. 

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.